Active NPI
Greater Baden Medical Service Incorporated
- Federally Qualified Health Center (FQHC)
- Brandywine, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GREATER BADEN MEDICAL SERVICE INCORPORATED
- Practice address
- 7450 Albert Rd FL 2
Brandywine, MD 20613-3035 - Phone
- (301) 888-2233
- Fax
- (301) 888-9133
- NPI assigned
- Jul 20, 2006
- Last updated
- Oct 15, 2026
- Organization subpart
- Yes
- Parent organization
- GREATER BADEN MEDICAL SERVICE INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Bevans
- Title
- Cfo
- Phone
- (301) 888-2233
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Health Educator | 174H00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | |||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
7450 Albert Rd FL 2
Brandywine, MD 20613-3035
Mailing address
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (301) 888-2233
Other practice location 1
1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 324-1500
Other practice location 2
6196 Oxon Hill Rd Ste 540
Oxon Hill, MD 20745-3112
Phone (301) 686-1665
Other practice location 3
23140 Moakley St Ste 4
Leonardtown, MD 20650-2923
Phone (301) 997-1029
Other practice location 4
1458 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 324-1500
Other practice location 5
21625 Great Mills Rd Fl 1
Lexington Park, MD 20653-1239
Phone (301) 637-8331
Other practice location 6
8030 Matthews Rd Unit 105-107
Bryans Road, MD 20616-4265
Phone (301) 917-9999
Other practice location 7
7450 Albert Rd Fl 1
Brandywine, MD 20613-3035
Phone (301) 888-2233
Other practice location 8
6 Garrett Ave
LA Plata, MD 20646-5959
Phone (301) 539-5100
Other names 1
- Greater Baden Medical Service at Brandywine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051017000645 | DC | Part B Supplier - Clinic/Group Practice | 4981632650 |
Receives reassigned benefits from 57 practitioners Practice locations: Brandywine, MD; Oxon Hill, MD; Capitol Heights, MD |
| O20080222000437 | MD | Part A Provider - Federally Qualified Health Center (FQHC) | 4981632650 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Capitol Heights, MD |
| O20081014000811 | MD | Part A Provider - Federally Qualified Health Center (FQHC) | 4981632650 | Practice locations: Brandywine, MD |
| O20221202000091 | MD | Part B Supplier - Clinic/Group Practice | 4981632650 |
Receives reassigned benefits from 46 practitioners Practice locations: Leonardtown, MD; Lexington Park, MD; Bryans Road, MD; La Plata, MD |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1912927344. Details of each certification follow.
Federally qualified health center certification: CCN 211867
- Legal name
- GREATER BADEN MEDICAL SERVICE INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 22, 2008
- Last certification
- Feb 22, 2008
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jul 6, 1972 in MD
- Enrollment address
- 1442 Addison Rd S
Capitol Heights, MD 20743-4413
Federally qualified health center certification: CCN 211817
- Legal name
- GREATER BADEN MEDICAL SERVICE INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 13, 1995
- Last certification
- Nov 13, 1995
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation
- Incorporated
- Jul 6, 1972 in MD
- Enrollment address
- 7450 Albert Rd
FL 3
Brandywine, MD 20613-3035
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Federally Qualified Health Center (FQHC)
- Capitol Heights, MD
- NPI 1275783615
Related provider number
-
- Federally Qualified Health Center (FQHC)
- Leonardtown, MD
- NPI 1922258367
Related provider number
Other NPIs with the same Medicare PAC ID 9
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- Oxon Hill, MD
- NPI 1083950521
4981632650
-
- Federally Qualified Health Center (FQHC)
- Capitol Heights, MD
- NPI 1093987729
4981632650
-
- Federally Qualified Health Center (FQHC)
- Capitol Heights, MD
- NPI 1275783615
4981632650
-
- Federally Qualified Health Center (FQHC)
- La Plata, MD
- NPI 1417107913
4981632650
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
4981632650
-
- Federally Qualified Health Center (FQHC)
- Bryans Road, MD
- NPI 1518686476
4981632650
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1851010771
4981632650
-
- Federally Qualified Health Center (FQHC)
- Leonardtown, MD
- NPI 1922258367
4981632650
-
- Federally Qualified Health Center (FQHC)
- Capitol Heights, MD
- NPI 1922827831
4981632650
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Capitol Heights, MD
- NPI 1093987729
O20080222000437
National Provider Directory
National Provider Directory- Part of
- Greater Baden Med SVC Inc
Locations
7450 Albert Rd
Fl 1
Brandywine, MD 20613
Phone (301) 836-9645
6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100
21729 Great Mills Rd
Ste C
Lexington Park, MD 20653
Phone (240) 895-8396
4375 Port Tobacco Rd
#101
Nanjemoy, MD 20662
Phone (301) 752-4630
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Roxann Cooper | Corporate Director | May 1, 2021 | |
| Corporate Officer | May 1, 2021 | ||
| Joan F Hepburn | Corporate Director | Jan 1, 2023 | |
| Dale E Speake | Corporate Director | Jan 1, 2023 | |
| Corporate Officer | Feb 1, 1990 | ||
| Jeffrey a Kurcab | Corporate Officer | Jan 1, 2023 | 100% |
| W-2 Managing Employee | Jan 1, 2023 | 100% | |
| Brandon Jones | Corporate Director | Jan 1, 2023 | |
| Corporate Officer | Feb 1, 2017 | ||
| Christopher Demarco | Corporate Officer | Jan 1, 2023 | 100% |
| Ruth Jackson | Corporate Director | Jan 1, 2023 | |
| Robert Harold Eaton | Corporate Director | Jan 1, 2023 | |
| Corporate Officer | Oct 1, 2018 | ||
| Mary Ann Friis | Corporate Director | Oct 1, 2020 | |
| Corporate Officer | Oct 1, 2010 |
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
Practitioners & affiliated clinicians
Practitioners 63
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics Physician
- Clinton, MD
- NPI 1073875829
DC, Obstetrics & Gynecology
-
- Infectious Disease Physician
- Baltimore, MD
- NPI 1962631218
DC, Internal Medicine
-
- Family Nurse Practitioner
- Silver Spring, MD
- NPI 1871169664
DC
-
- Infectious Disease Physician
- Capitol Heights, MD
- NPI 1972733590
DC, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1912927344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 3",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-888-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 ALBERT RD FL 2",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133035",
"telephone_number": "301-888-2233",
"fax_number": "301-888-9133"
}
],
"practiceLocations": [
{
"address_1": "1442 Addison Rd S",
"address_purpose": "LOCATION",
"city": "Capitol Heights",
"state": "MD",
"postal_code": "207434413",
"country_code": "US",
"telephone_number": "301-324-1500",
"fax_number": "240-492-2526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6196 Oxon Hill Rd Ste 540",
"address_purpose": "LOCATION",
"city": "Oxon Hill",
"state": "MD",
"postal_code": "207453112",
"country_code": "US",
"telephone_number": "301-686-1665",
"fax_number": "301-686-1779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23140 Moakley St Ste 4",
"address_purpose": "LOCATION",
"city": "Leonardtown",
"state": "MD",
"postal_code": "206502923",
"country_code": "US",
"telephone_number": "301-997-1029",
"fax_number": "301-997-1489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1458 Addison Rd S",
"address_purpose": "LOCATION",
"city": "Capitol Heights",
"state": "MD",
"postal_code": "207434413",
"country_code": "US",
"telephone_number": "301-324-1500",
"fax_number": "301-324-6405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21625 Great Mills Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Lexington Park",
"state": "MD",
"postal_code": "206531239",
"country_code": "US",
"telephone_number": "301-637-8331",
"fax_number": "301-637-6625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8030 Matthews Rd Unit 105-107",
"address_purpose": "LOCATION",
"city": "Bryans Road",
"state": "MD",
"postal_code": "206164265",
"country_code": "US",
"telephone_number": "301-917-9999",
"fax_number": "301-987-4071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7450 Albert Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Brandywine",
"state": "MD",
"postal_code": "206133035",
"country_code": "US",
"telephone_number": "301-888-2233",
"fax_number": "301-836-9660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Garrett Ave",
"address_purpose": "LOCATION",
"city": "LA Plata",
"state": "MD",
"postal_code": "206465959",
"country_code": "US",
"telephone_number": "301-539-5100",
"fax_number": "301-934-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREATER BADEN MEDICAL SERVICE INCORPORATED",
"enumeration_date": "2006-07-20",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "BEVANS",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-888-2233"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greater Baden Medical Service at Brandywine",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brandywine, MD
- Grant Speech Pathology Services, LLC
- Tamisha R Grant, MS-CCC/SLP
- Granting Grins, LLC (Brandywine Family Dental)
- Greater Baden Medical Service Incorporated (Greater Baden Health Services)
- Greater Baden Medical Service Incorporated
- Greater Baden Medical Service, Inc. (Greater Baden Medical Service Pharmacy)
- Christian Greenfield
- Sebastian Palmer Hall
- Shawn Christopher Harich
- Harmony Mental Health and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.